Chapter 04: Psychosocial Alterations

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which of the following concepts supports patients and helps them endure the physical and psychological insults of their critical illness?

a.	Regression
b.	Denial
c.	Hope
d.	Trust

 

ANS:   C

Hope is the expectation that a desire will be fulfilled. It supports patients and helps them endure physical and psychological insults.

 

DIF:    Cognitive Level: Comprehension       REF:    32

OBJ:    Nursing Process: Diagnosis

TOP:    Psychosocial Alterations        MSC:   NCLEX: Psychosocial Integrity

 

2. Overt hostility, severe regression, and noncompliance with treatment may suggest:

a.	decisional conflict.
b.	personal identity disturbance.
c.	ineffective coping.
d.	relocation stress syndrome.

 

ANS:   C

Overt hostility, severe regression, and noncompliance with treatment may suggest ineffective coping

 

DIF:    Cognitive Level: Synthesis     REF:    32

OBJ:    Nursing Process: Assessment TOP:    Psychosocial Alterations

MSC:   NCLEX: Psychosocial Integrity

 

3. Which of the following techniques may be used to enhance coping?

a.	Encouraging the patient to let the staff have total control of the patient’s care
b.	Encouraging denial of the illness
c.	Letting the patient know everything will be all right
d.	Fostering trust in the health care team

 

ANS:   D

Trust manifests itself in critical care patients as the belief that the staff will get them through the illness. Fostering trust in the health care team will strengthen the patient’s ability to cope with his or her illness.

 

DIF:    Cognitive Level: Synthesis     REF:    32

OBJ:    Nursing Process: Intervention TOP:    Psychosocial Alterations

MSC:   NCLEX: Psychosocial Integrity

 

4. Interventions to help family members who are extremely upset include:

a.	encouraging the family to visit as much as possible.
b.	conveying what the patient is experiencing to the family.
c.	supporting the family members away from the bedside.
d.	assuring the family that the staff will take care of the technical aspects of the patient’s care.

 

ANS:   C

If family members are so upset that they completely lose composure, a brief attempt at supporting them away from the bedside may be adequate. In doing so, nurses may determine that family members need a consistent outside source of support and may make a referral according to department guidelines.

 

DIF:    Cognitive Level: Application REF:    33

OBJ:    Nursing Process: Intervention TOP:    Psychosocial Alterations

MSC:   NCLEX: Psychosocial Integrity

 

5. Ms. A has been admitted to the critical care unit with a severed spinal cord injury at the T2 level. She has been in halo traction with immobilization for the past week. The physician explains to Ms. A that the spinal cord has been severed and that she will not be able to walk again. Ms. A becomes overtly hostile to everyone. She is demonstrating:

a.	regression.
b.	loss of autonomy.
c.	ineffective coping.
d.	delirium.

 

ANS:   C

Ineffective coping may be suggested by patient behaviors of overt hostility, severe aggression, or noncompliance with suggested treatment.

 

DIF:    Cognitive Level: Analysis      REF:    32

OBJ:    Nursing Process: Diagnosis

TOP:    Psychosocial Alterations        MSC:   NCLEX: Psychosocial Integrity